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1124038500
THOMAS L DE WILDT
POWAY, CA
NPI
1124038500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS 9390)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Mr. THOMAS L DE WILDT LCSW
15525 POMERADO RD SUITE A-7
POWAY, CA 92064-2435
Phone number: 858-279-1223
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Mailing Address
Mr. THOMAS L DE WILDT LCSW
15525 POMERADO RD SUITE A-7
POWAY, CA 92064-2435
Phone number: 858-279-1223
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